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HomeMy WebLinkAboutCORRESPONDENCE - BID - 7355 HAULING SERVICESCity of - .1 FortCollins April 8, 20.13 Johnson Trucking Attn: Wes Johnson 408 East 50`h St Loveland, CO 80538 RE: 7355 Hauling Services 2012 Dear Mr. Johnson: ,i AN 11 2013 Financial iowicos :r. Purchasing Division 215 N. Mason St. a Floor, . PO Box 580 Fort Collins, CO 80522 9T0.221.6775 970.221.6707- fax /cgovconr purchasing The City of Fort Collins wishes to extend the agreement term for the above captioned proposal per the existing terms and conditions. The term will be extended for one (1) additional year, April 1, 2013 through March 31, 2014. If the renewal is acceptable to your firm, please sign this letter in the space provided include a current copy of insurance naming the City as an additional insured and return all documents to the City of Fort Collins, Purchasing Division, P. O. Box 580, Fort Collins,CO 80522, within the next fifteen days. If this extension is not agreeable with your firm, we ask that you send us a written notice stating that you do not wish to renew the contract and state the reason for non -renewal. Please contact John Stephen, CPPO, LEED AP, Senior Buyer at (970) 221-6777 if you have any questions regarding this matter. Sincer ly, ���� John D. ephen, CPPO, LEED AP Interim Director of Purchasing and Risk Management �/- 9-C.20/j Sigma Date (Please indicate your desire to renew 7355 by signing this letter and returning it to Purchasing Division within the next fifteen days.) 4/11/2013 3:24 PM FROM: Fax Welsh Insurance Agency Inc TO: 19702216707 PAGE: 001 OF 001 Air-.")?"' CERTIFICATE OF LIABILITY INSURANCE DATE 100M V) - 0411/11/13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must he endorsed. If SUBROGATION IS WAIVED, suhjectto the terms and conditions of the policy, certain policies may require an endorsement- A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER Welsh Insurance Agency, Inc. CONTACT NAME: EAHONE (9]O)206-1810 q No: (970)206-1808 4033 Boardwalk Drive, Suite #200 ADDRLESSBruce@wiainsumnce.com INSURERS AFFORDING COVERAGE NAIL f Fort Collins, CO 80525 INSURER A: United Fire&Casualty Phone (970)206-1810 Fax (970)206-1808 INSURED INSURER B INSURER C Johnson, Wes, DBA Johnson Trucking INSURER D: PINNACOL 408 E. 50th INSURER E Loveland, CO 80538- 970 NSURER F' COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF HSU RANGE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADM UBR POLICY NUMBER POLICY EFF MMIDO YYYY POLICY EXP MMM1IDA'1'YY LIMNS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 J❑ COMMERCIAL GENERAL I-MILTY AGE PDR M SE6 EdENTED oc.l nce $ 100,000.00 MED ENE (AN one pereon) $ 5,000.00 A ❑ ❑ CLAIMSMADE O OCCUR ❑ N 60402441 04/082013 04/082014 PERSONAL aADV INJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP)P AGG $ 2,000,000.00 d❑ POLICY ❑ PECT RO ❑ LOG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMB Ee...dent 1,DDQDOD.DD BODILY INJURY (Per Person) $ ❑ ANYAUTO A ALL OWNED SCHEDULED ❑ ALTOS ❑ AUTOS 60402441 04/082013 04/082014 BODILY INJURY (Per accident $ PReOPPERLY DAMAGEAUTOS $ Q HIREDAUTOS ❑ NONNED A O UMBRELLA LIAR O OCCUR EXCESS LIAe ❑ El 60402441 04/082013 04/082014 EACH OCCURRENCE $ 1,000,000.00 AGGREGATE $ 1,000,000.00 DED d RETENTION $ 10,000.00 $ WORKERS COMPENSATION AND EMPLCIYERS'LIABILITY Y/N WC STLAMR OR El EACHACCIDENT $ 50Q000.00 D MY PROPRIETORPARTNER �CUTIVE OFFICERME BER EXCLUDED (MantletorylN NIA 9264149 04/01013 04/01013 E.L. DISEASE - EA EMPLOYE $ 500,000.00 Ify. daecdb.mder DE SCRIPT ION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $ 500,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Addltlonal Remarks Schedule, If more space Is required) TRUCKING CERTIFICATE HOLDER ISAN ADDITIONAL INSURED FOR GL. CERTIFICATE HOLDER CANCELLATION City of Fort Collins -PURCHASING DEPARTMENT ATTN: Louisa Liu PO BOX 580 FORT COLLINS CO 80522 FAX (970)221-6707 ACORD 25 (2010105) OF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. �lGa`rw-Q 01988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD 4/11/2C13 3:24 PM FROM: Fax Welsh Insurance Agency Inc TO: 19702216707 PAGE: 001 OF 001 ACGN,!fJ DATE(MMIDDfYYYY) ' CERTIFICATE OF LIABILITY INSURANCE 04/11/13 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. - IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: We1511 Insurance Agency, Inc. A/O No Eat: (970)206-1810 AC No_ (970)206-1808 4033 Boardwalk Drive, Suite #200 AE IESS Bruce@wiainsurance.com INSURERS AFFORDING COVERAGE NAIC Fort Collins, CO 80525 INSURERA: United Fire & Casualty Phone (970)206-1810 Fax (970)206-1808 INSURED INSURERS INSURER C: ' ,Johnson, Wes, DBA Johnson Trucking INSURER D PINNACOL 408 E. 50th INSURER E Loveland, CO 80538- 970 NSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR rypE OF INSURANCE ADMUBR INSR VWD POLICY NUMBER POLICY FEE MM,OD/YYYY POLICY EXP MMMDNYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 ✓❑ COMMERCIAL GENERAL LIABILITY PREMISESUEa occur°ence $ 100,000.00 MED EXP[Any one person) $ 5,000.00 A ❑ ❑ CLAIM&MADE ❑✓ OCCUR ❑ N 60402441 04/082013 04/082014 PERSONAL a ADV NJURY $ 1,000,000.00 ❑ GENERAL AGGREGATE $ 2,000,000.00 - GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS -COMPIOPAGG $ 2,000,000.00 0 POLICY ❑ PRO ❑ TOG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT E. soadent 1,000,000.00 BO DILY INJURY (Per person) $ ❑ ANYAUTO A ALL OWNED SCHEDULED ❑ AUTOS �/❑ AUTOS 60402441 04/082013 04/082014 BODILY INJURY (Per ncddent $ HIRED AUTOS ✓❑ NO OSMED PROPS Tent AMAGE $ $ ❑ ❑ _ A 0 UMBRELLA LIAR OOCCUR EXCESS LIAR ❑ ❑ cwlnlsMARE 60402441 04/082013 04/082014 EACH OCCURRENCE $ 1000000.00 AGGREGATE $ 1,000,000.00 RED ✓ RETENTION $ 10,000.00 $ VADWERS COMPENSATION ✓❑ WC S TATULLIMIT❑ OR TORY AND EMPLOYERS' LIABILITY Y/N EL. EACH ACCIDENT $ 500,000.00 D OANY FFICEOBEMBER ETOPFccwOEDXEC'TNE (Mandatoryln NH) N/A 9264149 04/012013 04/012013a EL DISEASE - EA EMPLOYE $ 500,00000 Irm d.... he node! DE SCRIPTIONOFOPERATIONSbelrw El.DISEASE-POLICYLIMIT $ 500,000,00 DESCRIPTION OF OPERATIONS / LOCATIONS l VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace is required) TRUCKING CERTIFICATE HOLDER IS AN ADDITIONAL INSURED FOR GL. CERTIFICATE HOLDER CANCELLATION City of Fort Collins -PURCHASING DEPARTMENT ATTN: Louisa Liu PO BOX 580 FORT COLLINS CO 80522 FAX (970)221-6707 ACORD 25 (2010105) OF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Apr 16 13 04:04p MOBILE LAB INC 9702780663 p.1 Mobile Lab 5016 Lynnwood Court, Loveland, CO 80537 Phone (970)391-9677 Fax (970)278.0663 Drug free Workplace, TPA, and Consortium management April 16, 2013 City of Ft Collins Attn: Transportation Wes Johnson of Johnson Trucking requested that I notify you in rega Mobile Lab Highway Consortium. Johnson Trucking is a member of t consortium and their program is renewable annually on Oct, 22. Mob provides employee training, along with supporting documentation for holders employed with this company. to LIM* Mobile Lab also provides the random program for drug and alcohol to ting per D.O.T. guidelines, and keeps on file the results relating to drug and al ohol testing. The DHHS certified laboratory is: Quest Diagnostics 10101 Renner Blvd. Lenexa, KS 66219 The MRO is: WPCI A.A. Armstrong M.D. 1321 Broadway Scottsbluff, NE 69361 In the event of a D.O.T. audit Mobile Lab would be willing to provide company with the desired records with this client's permission. Sincerely, Michael (koanL Apr 16 13 04:04p MOBILE LAB INC 9702780663 p.2 Participants by Alpha Sort Field Johnson Trucking From: To: 77777777= Participant W Name SSN Home DOT Occu Pool Rm Term. Term. Date Home Base: ( ) 1 Wesley Johnson �-9836 Y CCL Y N Records in is group: 1 Total Records Printed: 1 4JIM013 4:47:37PM Participants by Aipha Sort Field Page 1 of 1